Dupuytren's disease
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A condition that deforms the hand, causing fingers to curl toward the palm.
Other names[edit | edit source]
Dupuytren's contracture
Cause[edit | edit source]
The cause is unknown.
Risk factors[edit | edit source]
Family history, alcohol use, diabetes, and smoking are described.
Epidemiology[edit | edit source]
The condition is more common after age 40.
Sex differences[edit | edit source]
Men are affected more often than women.
Symptoms[edit | edit source]
The ring finger is affected most often, followed by the little, middle, and index fingers.
Progression[edit | edit source]
It starts as a nodule or lump which thickens in to a band, which causes difficulty to extend fingers over time.
Diagnosis[edit | edit source]
Diagnosis can usually be made from the typical signs of the condition.
Treatment[edit | edit source]
- Treatment involves corticosteroid courses
- Collagenase injected into the thickened tissue to break it down and has been shown to be just as effective as surgery.
- Surgery may be done to remove the affected tissue.
- A procedure called aponeurotomy which involves inserting a small needle into the affected area to divide and cut the thickened bands of tissue.
- Radiation is another treatment option for mild cases of contracture, when the tissue is not so thick.
- Radiation therapy may stop or slow down thickening of the tissue. It is usually done only one time.
ICD codes[edit | edit source]
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